Individual provider Active NPI

Jose Arnaldo Gonzalez Cuevas, PA MD

  • Occupational Medicine Physician
  • San Juan, PR
National Provider Identifier
1669117339
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
1301 Issued in PR
Practice address
University Gardens
265 Calle Interamericana
San Juan, PR 00927
Phone
(787) 602-8468
NPI assigned
Apr 28, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 3103PA PR
Occupational Medicine Physician 2083X0100X 1301 PR Primary

Addresses

Primary practice location

University Gardens
265 Calle Interamericana
San Juan, PR 00927

Mailing address

University Gardens
265 Calle Interamericana
San Juan, PR 00927
Phone (787) 602-8468

Other identifiers 1

IdentifierTypeStateIssuer
1301PAOtherPRJDM

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL centromirna.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
3103PAPRMDCase Manager/Care Coordinator

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1669117339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY GARDENS",
            "address_2": "265 CALLE INTERAMERICANA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-602-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY GARDENS",
            "address_2": "265 CALLE INTERAMERICANA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-602-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ CUEVAS",
        "first_name": "JOSE",
        "middle_name": "ARNALDO",
        "name_prefix": "Dr.",
        "credential": "PA MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "PR",
            "license": "3103PA",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "PR",
            "license": "1301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JDM",
            "identifier": "1301PA",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "centromirna.org",
            "affiliation": "N",
            "endpointDescription": "PA MD Concelor Tanatology",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "University Gardens",
            "address_2": "265 Calle Interamericana",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.